Decentralization of HIV care across sub-Saharan Africa has increased access to anti-retroviral therapy (ART). Although traveling for care has traditionally been viewed as a barrier, some individuals may choose to travel for care due to stigma and fear of HIV status disclosure. We sought to understand the prevalence of traveling long distances for HIV care, as well as reasons for engaging in such travel. Using a concurrent embedded mixed-methods study design, individuals receiving care at two HIV care and treatment clinics in Tanzania completed a quantitative survey (n = 196), and a sub-set of participants reporting long-distance travel for care were interviewed (n = 31). Overall 58.2% of participants (n = 114/196) reported knowing of a closer clinic than the one they chose to attend. Having experienced enacted stigma was significantly associated with traveling for care (OR 2.31, 95% CI 1.12, 4.75, p = 0.02). Reasons for clinic choice centered on three main themes: clinic familiarity, quality of care, and stigma. Traveling for care was often viewed as an enabling strategy for remaining engaged in care by helping overcome other barriers, including stigma and suboptimal quality of care.

撒哈拉以南非洲地区艾滋病毒护理的分散化增加了获得抗逆转录病毒治疗（ART）的机会。尽管传统上将就医旅行视为障碍，但由于耻辱感和对艾滋病毒状况披露的恐惧，一些人可能会选择旅行就医。我们试图了解长途旅行以进行 HIV 护理的普遍性，以及进行此类旅行的原因。使用并发嵌入式混合方法研究设计，在坦桑尼亚的两个 HIV 护理和治疗诊所接受护理的个人完成了一项定量调查（n  = 196），并采访了报告长途旅行护理的参与者子集（n  = 31)。总体 58.2% 的参与者（n = 114/196) 报告说他们知道比他们选择去的诊所更近的诊所。经历过制定的污名与因护理而旅行显着相关（OR 2.31, 95% CI 1.12, 4.75, p  = 0.02）。选择诊所的原因主要集中在三个主题上：诊所熟悉度、护理质量和耻辱感。为护理旅行通常被视为通过帮助克服其他障碍（包括污名和次优护理质量）来保持参与护理的有利策略。